DICOM MCP Server
About
DICOM MCP Server is a Model Context Protocol (MCP) server for DICOM connectivity testing. It allows MCP clients—such as Claude—to perform DICOM operations like C-ECHO by querying configured DICOM nodes. It is intended for developers and administrators who need to verify DICOM…
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- Model Context Protocol server for DICOM connectivity testing
- Configure DICOM nodes via a YAML configuration file
- Perform C-ECHO operations using node names or explicit parameters
- Supports multiple local AE titles for different use cases
- List all configured DICOM nodes with one tool call
- Two installation options: traditional and MCP‑managed
Setting up with Highlight
This MCP is not yet compatible with Highlight’s one-click setup. However, you can still use it with Highlight by following these steps:
- Download and install Highlight from highlightai.com/download
- Navigate to the plugins tab and select "Add Custom Plugin"
-
Configure the plugin with the settings below
Plugin Name
DICOM MCP ServerCommand (node, npx, python, etc.)Please refer to the README for specific instructions on how to obtain API keys or other required environment variables.
- Enable "Start Automatically" if you want the plugin to start when Highlight launches
From the repository
Install UV, then install dependencies with uv pip install mcp[cli]. Optionally register the server with Claude via mcp install server.py. Run directly with uv run server.py (starts on 0.0.0.0:8080). Configure DICOM nodes in a nodes.yaml file. Use tools such as list_dicom_nodes(), dicom_cecho_by_name(), and dicom_cecho() through the MCP interface.
Claude Desktop / Cursor
Paste into your MCP client config file to install this server.
{
"mcpServers": {
"dicom mcp server": {
"fluxinc_dicom-mcp-server": {
"command": "uv",
"args": [
"pip",
"install",
"mcp[cli]"
]
}
}
}
}
McpServers
{
"fluxinc_dicom-mcp-server": {
"command": "uv",
"args": [
"pip",
"install",
"mcp[cli]"
]
}
}
DICOM MCP Server
A Model Context Protocol (MCP) server for DICOM connectivity testing.
Prerequisites
1. Install UV (required):
pip install uv
Make sure
uv is available in your system PATH as it's required for Claude to properly execute the server.
Installation
There are two ways to set up the server:
1. Traditional Setup
Install the required dependencies:
uv pip install mcp[cli]
2. MCP Installation (Recommended)
To use this server with Claude's Model Context Protocol:
mcp install server.py
This will register the server with Claude for DICOM operations.
Running the Server
Direct Execution
uv run server.py
Through Claude
Once installed via MCP, the server will be automatically managed by Claude when needed.
The server will start on 0.0.0.0:8080 by default.
Node Configuration
The server uses a nodes.yaml file to store DICOM node configurations. This allows you to:
1. List all configured DICOM nodes
2. Perform C-ECHO operations using node names instead of explicit AE titles, IPs, and ports
3. Use different local AE titles for C-ECHO operations
nodes.yaml Format
nodes:
# Example node configuration
main_pacs:
ae_title: DESTINATION
ip: 192.168.1.100
port: 104
description: "Main hospital PACS system"
local_ae_titles:
- name: default
ae_title: MCP_DICOM
description: "Default AE title for MCP DICOM server"
- name: pacs_gateway
ae_title: PACS_GATEWAY
description: "PACS Gateway AE title"
Troubleshooting
If you encounter the "spawn uv ENOENT" error, it typically means one of the following:
1. UV is not installed or not in your PATH
2. The Python executable cannot be found by the MCP client
Solutions:
1. Make sure UV is properly installed and in your PATH:
which uv # Should show the path to UV
2. Ensure you're using a Python environment that's accessible to the system:
- If using a virtual environment, make sure it's activated
- Check that Python is in your PATH
3. Try running the server with explicit UV path:
/full/path/to/uv run server.py
4. Add more debugging by checking the stderr output in the logs
Usage
The server provides several DICOM tools that can be used through the MCP interface:
List DICOM Nodes
List all configured DICOM nodes from the nodes.yaml file:
list_dicom_nodes()
C-ECHO by Node Name
Perform a C-ECHO operation using a node name from the configuration:
dicom_cecho_by_name(node_name="main_pacs", local_ae_name="default")
Direct C-ECHO
Perform a C-ECHO operation with explicit parameters:
dicom_cecho(remote_ae_title="REMOTE_AE", ip="192.168.1.100", port=104, local_ae_title="MCP_DICOM")
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